CAJ | 학술논문

目的报道蒂部加强穿支血管的逆行腓肠神经营养血管筋膜皮瓣的手术方法及临床应用效果.方法切取腓肠神经营养血管筋膜皮瓣逆行转位修复肢体远端皮肤软组织缺损时,在蒂部或转轴点附近增加从深部血管发出的皮穿支以加强皮瓣的血供,提高手术成功率.结果临床应用24例,皮瓣面积为25 cm×12 cm～8 cm×7 cm,创面面积为全足～7 cm×6 cm;修复范围:由踝部至全足底.24例皮瓣全部成活,无皮瓣肿胀及静脉淤血.随访6～12个月,皮瓣质地优良,外形与功能恢复满意.结论筋膜蒂部加强穿支血管的逆行腓肠神经营养血管皮瓣,血供充足,增大了皮瓣的存活面积,提高了手术的成功率,为临床修复大面积软组织缺损提供了实用性的方法.
목적 보도체부가강천지혈관적역행비장신경영양혈관근막피판적수술방법급림상응용효과.방법 절취비장신경영양혈관근막피판역행전위수복지체원단피부연조직결손시,재체부혹전축점부근증가종심부혈관발출적피천지이가강피판적혈공,제고수술성공솔.결과 림상응용24례,피판면적위25 cm×12 cm～8 cm×7 cm,창면면적위전족～7 cm×6 cm;수복범위:유과부지전족저.24례피판전부성활,무피판종창급정맥어혈.수방6～12개월,피판질지우량,외형여공능회복만의.결론 근막체부가강천지혈관적역행비장신경영양혈관피판,혈공충족,증대료피판적존활면적,제고료수술적성공솔,위림상수복대면적연조직결손제공료실용성적방법.
Objective To report the operative technique and clinical results of reversed perforator-plus sural neurofasciocutaneous flap in lower leg. Methods Perforator-plus sural neurofasciocutaneous flaps, which designed along the axis of the sural nerve and based on the dual-pedicle of fasciocutaneous and per-oneal perforator, were used to reconstruct soft-tissue defect in lower extremities. Results Twenfy-four flaps, ranged from 25 cm×12 cm - 8 cm ×7 cm in size, survived completely without venous congestion and distal ischemia and necrosis. The color and texture of the flaps were good. The appearance and functional re-suits were satisfactory with following up for 6 to 12 months. Conclusion The modified technique in pediclehave minimized the complication, enlarged the size of the flap and improved the survive rates. It is a goodmethod in repairing large soft-tissue defects of extremities.